Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
M HEALTH FAIRVIEW NORTHLAND MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
(763) 389-6306
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032494
PREFERREDONE
MN
01
—
110397
UCARE
MN
01
—
110399
UCARE
MN
05
—
145511700
—
MN
01
—
24560FA
BCBS
MN
05
—
285649200
—
MN
05
—
342177500
—
MN
05
—
405876300
—
MN
01
—
4D394RU
BCBS
MN
01
—
59983FA
BCBS
MN
05
—
710047701
—
MN
01
—
73772
HEALTHPARTNERS
MN
01
—
86227
HEALTHPARTNERS
MN
01
—
8866
HEALTHPARTNERS
MN
01
—
97138
HEALTHPARTNERS
MN
01
—
FP901
PREFERREDONE
MN
Enumeration date
10/17/2006
Last updated
02/19/2025
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